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MRS. KIMBERLY ANN EDWARDS PA-C
NPI 1639444136
Physician Assistant in St Augustine, FL

Active since March 15, 2012PECOS Enrolled
1750 TREE BLVD STE 1, ST AUGUSTINE, FL 32084(904) 824-4005(904) 824-4009 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Sep 16, 2019 (2 updates tracked since 2019).

About Mrs. Kimberly Ann Edwards Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY ANN EDWARDS PA-C (NPI 1639444136) is an individual physician assistant in St Augustine, Florida, licensed in Florida (PA9106467) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639444136
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY ANN EDWARDSCredential: PA-C
Location Address1750 TREE BLVD STE 1St Augustine, FL 32084-5719
Mailing Address15280 Nw 79th CtMiami Lakes, FL 33016-5789 · (305) 558-3724
Phone(904) 824-4005
Fax(904) 824-4009
Sole ProprietorNo
Enumeration DateMarch 15, 2012
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1639444136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9106467
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1750 TREE BLVD STE 1, St Augustine, FL 32084
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ann Edwards Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Edwards's NPI number?

The NPI number for Kimberly Edwards is 1639444136. It was assigned to this individual provider in the NPPES registry on March 15, 2012.

Where is Kimberly Edwards located?

Kimberly Edwards practices at 1750 Tree Blvd Ste 1, St Augustine, FL 32084. The listed phone number is (904) 824-4005.

What is Kimberly Edwards's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Edwards enrolled in Medicare?

Yes. Kimberly Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Edwards was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.